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Order Form 141 Marcel Drive

Winchester, Virginia 22602

Phone:1.800.336.7795

metal hot stamp dies

customerservice@specialmade.com

www.specialmade.com

TO USE THIS FORM Please download the latest free version of Abobe (PDF) Reader by clicking the link. http://get.adobe.com/reader/ Uncheck the additional offer, then run and install the program. Once installed, PDF files will open automatically with the new reader.

COMPANY INFO

Start Date:

Account Number: Company Name: Address: City/State/Zip: Contact: Email: Phone: Fax: Leadtime:

I am a new customer.

ARCHIVED ART NUMBER HS

DIE INFO 1. Metal Choice

6. Finishing

/ ” Magnesium Same Day Turn Around*

14

/ ” Copper

14

Next Day Turn Around*

/ ” Brass

14

/ ” Steel

38

2. Quantity of Dies/Reorder Quantity of Dies: Is this a reorder?

9. Special Instructions

Unmounted

Bevel Edge (for lock-up)

Mounted 1/2” Magenesium Base 3/4” Magenesium Base 1” Magenesium Base Holes Drilled

Show size and location on art OR specify below.

Yes

No

3. Electronic File Type File Name:

Design Format Please save engineerring files as “.cdr” and convert all text to curves/outlines or provide specific font file. Adobe Illustrator “.ai” or “.eps” CorelDraw “.cdr” Other:

4. Image Size

Number of Holes Hole Diameter Distance From Centers Countersink Holes Additional Info (if any)

7. Finished Plate Size We may adjust plate size based on information provided (i.e. desired image size, holes, etc.)

Standard 1/2” Surround Default* Different Surround Fill in the Blank Exact Size Specify Most Critical Dimension

Width

Same Size As Art Provided Size Change Specify Most Critical Dimension

Width

Height

8. Signature Use the Sign tool at the top right of the program to sign this form. Please sign on the line below.

Height

5. Plate Outcome Raised

Recessed

Right Reading

2nd Surface

Mark All That Apply

Wrong Reading

Completion Date:

Ex. If you need the die to fit a specific part OR if it needs to fit a certain machine or chase, etc.

SpecialMade Metal Hot Stamp Order Form  

Internal form for documenting die orders throughout process.

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